| NPI | 1518317932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33621) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC33621) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-03-16 |